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Organization
PHAN DENTAL CORP.
Active
Organization
PHAN DENTAL CORP.
Active
Other names
Porter Ranch Dental Studio
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BANG TAI PHAN D.D.S. (PRESIDENT)
(818) 368-8522
Entity
Organization
Contact information
Practice address
11200 CORBIN AVE STE 208, PORTER RANCH, CA 91326-4120
(818) 368-8522
(818) 368-8544
Mailing address
11200 CORBIN AVE STE 208, PORTER RANCH, CA 91326-4120
(818) 368-8522
(818) 368-8544
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
46927
CA
Other
Enumeration date
04/23/2010
Last updated
04/23/2010
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